Ingredient Cost definition

Ingredient Cost means the portion of the total medicaid payment amount attributable to the cost of the drug product, or in the case of a compound drug, the sum of the cost of the ingredients that are covered in accordance with rule 5160-9-03 of the Administrative Code.

Ingredient Cost means the component of Prescription Drug Compensation associated with the reimbursement of the Covered Medication dispensed.

Ingredient Cost means the negotiated rate (e.g., discount of AWP or MAC) for a prescription drug dispensed by a Network Participant and which, when combined with the applicable Dispensing Fee, constitutes the full amount payable for the given prescription drug and the professional service of dispensing such drug.

Examples of Ingredient Cost in a sentence

• The Ingredient Cost and/or Dispensing Fee may vary between Brand Drugs and Generic Drugs.

• If the Ingredient Cost and/or Dispensing Fee is less than the actual amount paid to the Network Participant, specialty pharmacy or Mail Service, the Group shall not be responsible for the excess amount.

• The Ingredient Cost and/or Dispensing Fee may not be the same amount as Florida Blue pays to the Network Participant, specialty pharmacy or Mail Service.

• Other than for Specialty Pharmacy Drugs, provided at a Specialty Pharmacy or other non-participating specialty pharmacy, Florida Blue will establish (and amend from time to time) a uniform Ingredient Cost and/or Dispensing Fee for Covered Prescription Drug Services which is calculated to approximate any Aggregate Discount Guarantee set forth below.

More Definitions of Ingredient Cost

Ingredient Cost means the price a provider has agreed to accept for a prescription drug, excluding

Ingredient Cost means the ingredient cost amount charged to Group for each Claim subject to the provision set forth in section IV.

Ingredient Cost means the actual amount paid to a pharmacy provider by a carrier or the carrier’s pharmacy benefits manager for a prescription drug, not including the dispensing fee or cost-sharing amount.

Ingredient Cost means the actual amount paid to a

Ingredient Cost means the amount Contractor pays to the pharmacy on behalf of the Board, less any and all income streams, to reflect complete financial transparency as defined in the RFP.

Ingredient Cost means the portion of a Claim's cost attributed to the actual Covered Drug, after application of any Claim Adjudication Rate or MAC or Specialty Drug discount, and excluding dispensing fees, ancillary fees, taxes, Copayment, and administration fees using the lesser of logic.

Ingredient Cost means the portion of a prescription's cost attributable to the drug ingredients, chemical components, and/or substances.